[{"data":1,"prerenderedAt":1496},["ShallowReactive",2],{"$f3rEk4njT2qcFkQ5zKP60gRfWKGaxN2a1Yfnr0FYtSOo":3,"$fBgIxsGqNHUG_u-1vryhBzV6JO3pxvfUGxz2OSqb93f0":9,"$fX6yHrO9apMtlZK526Odt6kaezdmv8lC-Pzdp6DcMMB0":511,"$fnVrj0yUZvUmnD1emXK8WBnxZjXKQVtkMNtw6jCiBjDM":584,"$fuKbcfQgjnFCvnTGuKOoiKBXfdv7jk-ovBpAEBxowloI":731,"$fomsE7hpBTqOwPvC0N2Sk5W31cAfY9vOdyqhY8Cmx7Mg":756,"$fUXVxh1hywbAuIYJct9m8dOubroo3213rwqIumkYhzzE":808,"$fCcODxP1M_-xB2TwFkLR8zKTRARcgNt4svELU7rkY8YM":849,"$ffhwlSR2n1R51ea-8ZKavDaOjTqAd16z6EscQtg9ujmM":890},{"title":4,"description":5,"backendUrl":6,"frontendUrl":7,"themeScreenshotUrl":8},"Jhpiego","We start with women's health, but we don't stop there.","https://api.jhpiego.org","https://jhpiego.org","https://api.jhpiego.org/wp-content/themes/fuxt-backend/screenshot.png",{"googleAnalytics":10,"socialSharedImage":15,"footerText":108,"footerEmail":109,"footerPhone":110,"footerImage":111,"introVideoBg":192,"searchHeaderImage":247,"":314,"hideFeaturedNewsPost":315,"featuredNewsPost":316,"menuFeaturedNews":373,"showCustomMenuItem":387,"menuFeaturedItem":388,"featuredBanner":454},[11,13],{"code":12},"G-MN8NG7QBCQ",{"code":14},"G-RNH48Z0R08",{"id":16,"src":17,"width":18,"height":19,"alt":20,"caption":21,"title":22,"description":20,"mimeType":23,"html":24,"srcset":25,"sizes":26,"meta":27,"acf":103},1113,"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg",2048,1367,"","Met the health volunteer Mamadjibeye Sarah, 26, at the Miandoum ACT health clinic to follow her home to work with Sarah who is hoping to go to college and be a nurse. She studies when she can for her exams...though no schedule yet for that.  Meanwhile she is helping with the family farm where they grow peanuts, maze as well as other stuff.  But she had two children, baby, Denelelem Prudence, 1 and a half and Carla Nekouanodi, 8.  She is separated from her husband who is in N'Djamena.  Her father is the village chief.  She has to walk back and forth to the farm from the village.","Chad-CountryLandingPage","image/jpeg","\u003Cimg width=\"2048\" height=\"1367\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-1024x684.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-768x513.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-1536x1025.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-809x540.jpeg 809w, https://api.jhpiego.org/wp-content/uploads/2025/03/Chad-CountryLandingPage-375x250.jpeg 375w, 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Kasmauski","NIKON D750","1473510651","2016 Karen Kasmauski","24","800","0.003125",[95,96,97,98,99,100,101,102],"Bebedja","Chad","clinic nurse","farming","health volunteer","malaria","village","water",{"primaryColor":104,"blurhash":105,"videoUrl":20,"focalPointX":106,"focalPointY":107},"#423f2b","UYD0JtWBWUoJ_4R*axay-=azjGay%MWCaxof","53.4","17.6","\u003Cp>\u003Cstrong>Johns Hopkins\u003Cbr />\nUniversity Affiliate\u003C/strong>\u003C/p>\n\u003Cp>\u003Ca href=\"https://maps.app.goo.gl/oSrmwL2C1hKzPDuEA\" target=\"_blank\">1615 Thames Street\u003Cbr />\nBaltimore, Maryland 21231, USA\u003C/a>\u003C/p>\n\u003Cp>\u003Ca href=\"https://maps.app.goo.gl/5dbU6KnxynaKwqnk8\" target=\"_blank\">1875 I St NW, 6th Floor\u003Cbr />\nWashington, DC 20006, USA\u003C/a>\u003C/p>\n","info@jhpiego.org","410-537-1800",{"id":33,"src":112,"width":113,"height":114,"alt":20,"caption":115,"title":116,"description":20,"mimeType":23,"html":117,"srcset":118,"sizes":119,"meta":120,"acf":188},"https://api.jhpiego.org/wp-content/uploads/2025/02/80b63f8648129e2500d8baebd7036984.jpeg",4000,2670,"Maichew Town, Lemlem Karl Hospital (built 1991)in the Tigray region of Ethiopia. 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Elyse says ÒI have four children with these two, the others are 11 and 8. My children are spaced because I am using family planning. Before I started using family planning I had two children very close together and both died because I couln't look after them. The midwife in the Health Centre explained to my husband and I then benefits of using family planning so we stared. I am happy that we can now look after the four children we have properlyÓJhpiego has been working in Burkina Faso for the last 22 years, transforming maternal and child healthcare for women and children.","JHPIEGO_BURKINA FASO","\u003Cimg width=\"2560\" height=\"1707\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1024x683.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-768x512.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1536x1024.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-2048x1366.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-810x540.jpeg 810w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-375x250.jpeg 375w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-960x640.jpeg 960w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1280x854.jpeg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1920x1280.jpeg 1920w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" />","https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header.jpeg 2560w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-300x200.jpeg 300w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1024x683.jpeg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-768x512.jpeg 768w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1536x1024.jpeg 1536w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-2048x1366.jpeg 2048w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-810x540.jpeg 810w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-375x250.jpeg 375w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-960x640.jpeg 960w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1280x854.jpeg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/04/Search-Header-1920x1280.jpeg 1920w","(max-width: 2560px) 100vw, 2560px",{"width":162,"height":250,"file":257,"filesize":258,"sizes":259,"imageMeta":301},"2025/04/Search-Header.jpeg",652939,{"medium":260,"large":263,"thumbnail":267,"mediumLarge":270,"1536x1536":274,"2048x2048":277,"postThumbnail":281,"socialPreview":285,"smallPreview":288,"mediumPreview":291,"largePreview":295,"fullscreenSmall":298},{"file":261,"width":33,"height":34,"mimeType":23,"filesize":262},"Search-Header-300x200.jpeg",40805,{"file":264,"width":38,"height":265,"mimeType":23,"filesize":266},"Search-Header-1024x683.jpeg",683,164502,{"file":268,"width":43,"height":43,"mimeType":23,"filesize":269},"Search-Header-150x150.jpeg",31471,{"file":271,"width":47,"height":272,"mimeType":23,"filesize":273},"Search-Header-768x512.jpeg",512,110463,{"file":275,"width":52,"height":38,"mimeType":23,"filesize":276},"Search-Header-1536x1024.jpeg",295479,{"file":278,"width":18,"height":279,"mimeType":23,"filesize":280},"Search-Header-2048x1366.jpeg",1366,451818,{"file":282,"width":283,"height":58,"mimeType":23,"filesize":284},"Search-Header-810x540.jpeg",810,119505,{"file":286,"width":62,"height":63,"mimeType":23,"filesize":287},"Search-Header-1200x630.jpeg",167119,{"file":289,"width":67,"height":68,"mimeType":23,"filesize":290},"Search-Header-375x250.jpeg",49537,{"file":292,"width":72,"height":293,"mimeType":23,"filesize":294},"Search-Header-960x640.jpeg",640,149615,{"file":296,"width":77,"height":78,"mimeType":23,"filesize":297},"Search-Header-1280x854.jpeg",225514,{"file":299,"width":82,"height":77,"mimeType":23,"filesize":300},"Search-Header-1920x1280.jpeg",410619,{"aperture":302,"credit":303,"camera":304,"caption":251,"createdTimestamp":305,"copyright":303,"focalLength":306,"iso":307,"shutterSpeed":308,"title":252,"orientation":309,"keywords":310},"4.5","KATE HOLT","Canon EOS 5D Mark III","1519805981","35","250","0.033333333333333","1",[],{"primaryColor":312,"blurhash":313},"#997c55","UNIgu,9a?bMy~UR,NfoLx@NfE2%Lt5E2M|Se",null,"true",{"id":317,"guid":318,"title":319,"content":320,"excerpt":321,"excerptRaw":321,"slug":322,"url":323,"uri":324,"to":324,"status":325,"date":326,"modified":327,"type":328,"authorId":329,"featuredMedia":330},8406,"https://jhpiego.org/?p=8406","Dr. Allyson Bear to Lead Jhpiego as New President and CEO","\n\u003Cp>\u003Cstrong>Baltimore, MD\u003C/strong> – Johns Hopkins University has announced that Dr. Allyson Bear will be Jhpiego’s next president and CEO. She will assume the role on April 1, 2026.\u003C/p>\n\n\n\n\u003Cp>Dr. Bear joins Jhpiego with 25 years of experience in the global health sector, most recently serving as founder and CEO of the Baltimore-based public health consultancy Vennhealth. Throughout her career, she has led strategic and evaluative initiatives that have shaped major global health programs and investments. Notable achievements include revising USAID’s maternal and child health investment frameworks to align with the Sustainable Development Goals, evaluating USAID’s flagship maternal and child health program, and designing a $1 billion successor strategy. In addition, she led the evaluation of the $3.5 billion Feed the Future nutrition portfolio, providing evidence that informed its Congressional reauthorization.\u003C/p>\n\n\n\n\u003Cp>“The throughline of Allyson’s professional trajectory has been a profound commitment to alleviating human suffering and promoting human dignity and health for all—a background that aligns deeply with Jhpiego’s longstanding mission to provide access to lifesaving health care where it is needed most,” said Johns Hopkins University President Ron Daniels in an email to the Johns Hopkins University community. “She brings a proven track record in strategic growth, innovation, and resource mobilization across the global health, economic development, and humanitarian sectors.”\u003C/p>\n\n\n\n\u003Cp>Dr. Bear began her career focused on global market shaping and scale-up efforts, starting with Gavi’s PneumoADIP and Hib Initiative, where she provided technical assistance to Ministries of Health for vaccine rollout and impact evaluations. From 2009 to 2015, she worked at USAID, leading the development of flagship U.S. Government health initiatives. She has also held leadership positions at Corus International and Abt Associates, managing global health and economic development portfolios across West Africa, francophone Central Africa, North Africa, and the Middle East. Dr. Bear has worked in more than 45 countries worldwide, including 11 years of residence in multiple countries throughout Africa and Asia.\u003C/p>\n\n\n\n\u003Cp>“It has been a privilege to lead Jhpiego over the last 25 years, and I could not be more confident as I pass the baton to Dr. Allyson Bear,” said Dr. Leslie Mancuso, outgoing president and CEO of Jhpiego. “Her commitment to improving global health and her thoughtful, values-driven leadership give me great optimism for the future of the organization.”\u003C/p>\n\n\n\n\u003Cp>Dr. Bear will succeed Dr. Leslie Mancuso, who has led Jhpiego since 2001 and announced her planned retirement in 2024. Under Dr. Mancuso’s leadership, Jhpiego has evolved from an organization with four core programs focused on family planning and cervical cancer prevention into one of the world’s most respected global health entities, now operating in 39 countries.\u003C/p>\n\n\n\n\u003Cp>To learn more about Dr. Bear, \u003Cstrong>\u003Ca href=\"https://hub.jhu.edu/2026/03/17/allyson-bear-named-jhpiego-president-ceo/\" data-type=\"link\" data-id=\"https://hub.jhu.edu/2026/03/17/allyson-bear-named-jhpiego-president-ceo/\">read the Johns Hopkins University Hub article here.\u003C/a>\u003C/strong>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>Johns Hopkins University has announced that Dr. Allyson Bear will be Jhpiego’s next president and CEO. She will assume the role on April 1, 2026.\u003C/p>\n","allyson-bear-to-lead-jhpiego-as-new-president-and-ceo","https://jhpiego.org/our-stories/p/allyson-bear-to-lead-jhpiego-as-new-president-and-ceo/","/our-stories/p/allyson-bear-to-lead-jhpiego-as-new-president-and-ceo/","publish","2026-03-23T12:01:00","2026-04-20T20:35:51","post",5,{"id":331,"src":332,"width":62,"height":333,"alt":20,"caption":20,"title":334,"description":20,"mimeType":23,"html":335,"srcset":336,"sizes":337,"meta":338,"acf":368},8456,"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg",627,"Allyson Bear Announcement_Landscape","\u003Cimg width=\"1200\" height=\"627\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-768x401.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-960x502.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-375x196.jpg 375w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" />","https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape.jpg 1200w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-300x157.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-1024x535.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/03/Allyson-Bear-Announcement_Landscape-768x401.jpg 768w, 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Philippines is home to one of Southeast Asia's largest youth populations, with an estimated 21 million young people between the ages of 10 and 19. 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Safe Spaces for Adolescents","h2",{"blockName":901,"attrs":1046,"innerHtml":1047},{"content":1047,"dropCap":904,"id":314,"tagName":905},"In Ozamiz City, Northern Mindanao—where there were more than 10,000 pregnancies among adolescents between the ages of 10 and 19 in 2024—the Building Resilient and Aware Voices for Empowerment (BRAVE) Project is addressing this need. Funded by Olivia Rodrigo's Fund 4 Good and implemented by Jhpiego Philippines in partnership with the Department of Education (DepEd) Schools Division of Ozamiz City, BRAVE is helping young people build knowledge, confidence, and resilience by equipping them to navigate challenges, make informed decisions, and advocate for their well-being while strengthening the systems that support them.",{"blockName":901,"attrs":1049,"innerHtml":1050},{"content":1050,"dropCap":904,"id":314,"tagName":905},"At the heart of the initiative is a simple but powerful belief: when young people have access to trusted information, supportive mentors, and opportunities to lead, they are better equipped to make informed decisions about their health and future.",{"blockName":901,"attrs":1052,"innerHtml":1053},{"content":1053,"dropCap":904,"id":314,"tagName":905},"Key to the project is the expansion of school-based teen centers—safe, adolescent-friendly spaces that offer information, counseling, referrals, and peer support. In November 2025, Jhpiego and the DepEd Ozamiz City Schools Division doubled the number of teen centers in the division from five to ten. This expansion followed training for school heads, guidance personnel, and center managers on creating more inclusive school environments.",{"blockName":901,"attrs":1055,"innerHtml":1056},{"content":1056,"dropCap":904,"id":314,"tagName":905},"Located within schools, these centers provide support for young people on adolescent sexual and reproductive health, mental health, gender-based violence prevention, disaster preparedness, and other issues affecting adolescents.",{"blockName":901,"attrs":1058,"innerHtml":1059},{"content":1059,"dropCap":904,"id":314,"tagName":905},"The impact is already visible. Project data indicate a 25 percent reduction in teenage pregnancies in areas served by the teen centers, alongside improved access to health information and stronger connections to available services.",{"blockName":901,"attrs":1061,"innerHtml":1062},{"content":1062,"dropCap":904,"id":314,"tagName":905},"“Building social will starts with creating spaces where young people feel heard, respected, and empowered to make informed decisions about their health,” said Coleen Dolina-Anugon, project officer for sexual and reproductive health at Jhpiego Philippines. “Through BRAVE, we are not only providing information and services but also helping communities recognize adolescents as partners in creating healthier futures.”",{"blockName":907,"attrs":1064,"innerHtml":1067,"embed":1068},{"alt":20,"caption":1065,"href":314,"id":314,"linkClass":314,"linkDestination":910,"linkTarget":314,"rel":314,"sizeSlug":911,"tagName":912,"title":314,"url":1066},"Students collaborate in groups to design adolescent-friendly IEC materials on mental health, ASRH, and disaster preparedness. Photo by Geri Matthew Carretero for Jhpiego.","https://api.jhpiego.org/wp-content/uploads/2026/06/Students-collaborate-in-groups-to-design-adolescent-friendly-IEC-materials-on-mental-health-ASRH-and-disaster-preparedness.-Photo-by-Geri-Matthew-Carretero-1024x768.jpeg","\u003Cimg src=\"https://api.jhpiego.org/wp-content/uploads/2026/06/Students-collaborate-in-groups-to-design-adolescent-friendly-IEC-materials-on-mental-health-ASRH-and-disaster-preparedness.-Photo-by-Geri-Matthew-Carretero-1024x768.jpeg\" alt=\"\" class=\"wp-image-9245\">\u003Cfigcaption class=\"wp-element-caption\">Students collaborate in groups to design adolescent-friendly IEC materials on mental health, ASRH, and disaster preparedness. 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Systems for Sustainable Impact",{"blockName":901,"attrs":1226,"innerHtml":1227},{"content":1227,"dropCap":904,"id":314,"tagName":905},"Jhpiego Philippines was recently recognized by the Department of Education Schools Division of Ozamiz City for its contributions to youth empowerment through adolescent sexual and reproductive health education, mental health support, and climate awareness.",{"blockName":901,"attrs":1229,"innerHtml":1230},{"content":1230,"dropCap":904,"id":314,"tagName":905},"“BRAVE has strengthened our efforts to create schools that are not only centers of learning but also safe spaces where adolescents can access support, develop leadership skills, and openly discuss issues affecting their well-being,” said Arlene Via, senior education program specialist for the Department of Education Schools Division of Ozamiz City.",{"blockName":901,"attrs":1232,"innerHtml":1233},{"content":1233,"dropCap":904,"id":314,"tagName":905},"Following that recognition, Jhpiego partnered with the Ozamiz City Health Office and the DepEd Ozamiz City Schools Division to train additional educators, guidance counselors, nurses, and health providers on adolescent health and resilience.",{"blockName":901,"attrs":1235,"innerHtml":1236},{"content":1236,"dropCap":904,"id":314,"tagName":905},"Due to BRAVE's initial success, Jhpiego and the Commission on Population and Development Northern Mindanao are now working with teen center managers across multiple regions in the Philippines to institutionalize quality standards and create communities where adolescents can thrive.",{"blockName":901,"attrs":1238,"innerHtml":1239},{"content":1239,"dropCap":904,"id":314,"tagName":905},"As a young participant in a BRAVE workshop wrote, “I am BRAVE. We are BRAVE. Together, let's build a generation that is informed, resilient, and empowered.”",{"blockName":901,"attrs":1241,"innerHtml":1242},{"content":1242,"dropCap":904,"id":314,"tagName":905},"\u003Cem>Geri Matthew Carretero is the Communications and Knowledge Management Officer for Jhpiego Philippines\u003C/em>. \u003Cem>Megan Christofield is the Principal Technical Advisor for Family Planning and Reproductive Health.\u003C/em>",{"blockName":901,"attrs":1244,"innerHtml":20},{"content":20,"dropCap":904,"id":314,"tagName":905},"Safe Spaces, Stronger Voices, and Healthier Futures for Filipino Adolescents",{"category":1247,"postTag":1259,"postFormat":314,"areaOfExpertiseTax":1288,"expertsTag":314},[1248,1253],{"id":1249,"name":1250,"slug":1251,"parent":314,"uri":1252,"to":1252},20,"Asia","asia","/our-stories/c/asia/",{"id":1254,"name":1255,"slug":1256,"parent":1257,"uri":1258,"to":1258},237,"Philippines","philippines",{"id":1249,"name":1250,"slug":1251,"parent":314,"uri":1252,"to":1252},"/our-stories/c/asia/philippines/",[1260,1265,1270,1275,1280,1282,1284],{"id":1261,"name":1262,"slug":1263,"parent":314,"uri":1264,"to":1264},275,"BRAVE","brave","/our-stories/c/brave/",{"id":1266,"name":1267,"slug":1268,"parent":314,"uri":1269,"to":1269},241,"Care Focus Area","care-focus-area","/our-stories/c/care-focus-area/",{"id":1271,"name":1272,"slug":1273,"parent":314,"uri":1274,"to":1274},137,"Family Planning","family-planning","/our-stories/c/family-planning/",{"id":1276,"name":1277,"slug":1278,"parent":314,"uri":1279,"to":1279},118,"Leadership","leadership","/our-stories/c/leadership/",{"id":208,"name":1255,"slug":1256,"parent":314,"uri":1281,"to":1281},"/our-stories/c/philippines/",{"id":43,"name":750,"slug":1283,"parent":314,"uri":754,"to":754},"story",{"id":717,"name":1285,"slug":1286,"parent":314,"uri":1287,"to":1287},"Youth","youth","/our-stories/c/youth/",[1289,1292],{"id":1290,"name":587,"slug":1291,"parent":314,"uri":592,"to":592},70,"adolescent-youth-health",{"id":1293,"name":604,"slug":1294,"parent":314,"uri":608,"to":608},141,"family-planning-reproductive-health","2026-06-25T17:37:39",{"id":916,"src":917,"width":918,"height":919,"alt":20,"caption":909,"title":920,"description":20,"mimeType":23,"html":921,"srcset":922,"sizes":923,"meta":1297,"acf":1312},{"width":918,"height":919,"file":925,"filesize":926,"sizes":1298,"imageMeta":1310},{"medium":1299,"large":1300,"thumbnail":1301,"mediumLarge":1302,"1536x1536":1303,"postThumbnail":1304,"socialPreview":1305,"smallPreview":1306,"mediumPreview":1307,"largePreview":1308,"fullscreenSmall":1309},{"file":929,"width":33,"height":930,"mimeType":23,"filesize":931},{"file":933,"width":38,"height":47,"mimeType":23,"filesize":934},{"file":936,"width":43,"height":43,"mimeType":23,"filesize":937},{"file":939,"width":47,"height":940,"mimeType":23,"filesize":941},{"file":943,"width":52,"height":944,"mimeType":23,"filesize":945},{"file":947,"width":948,"height":58,"mimeType":23,"filesize":949},{"file":951,"width":62,"height":63,"mimeType":23,"filesize":952},{"file":954,"width":67,"height":955,"mimeType":23,"filesize":956},{"file":958,"width":72,"height":948,"mimeType":23,"filesize":959},{"file":961,"width":77,"height":72,"mimeType":23,"filesize":962},{"file":964,"width":82,"height":196,"mimeType":23,"filesize":965},{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":309,"keywords":1311},[],{"primaryColor":969,"blurhash":970,"videoUrl":20,"focalPointX":20,"focalPointY":20},{"id":1314,"guid":1315,"title":1316,"content":1317,"excerpt":1318,"excerptRaw":1318,"slug":1319,"url":1320,"uri":1321,"to":1321,"status":325,"date":1322,"modified":1323,"type":328,"authorId":544,"featuredMedia":1324,"terms":1361,"acf":1385},3411,"https://jhpiego.netlify.app/?p=3411","Three Births, Three Complications, Three Lives Saved","\n\u003Cp>\u003Cstrong>Jakarta, Indonesia—\u003C/strong>Restiani was just 28 weeks pregnant when she went into labor. Her husband, Martudilah, drove her by motorbike on the 30-minute journey to their public hospital where she gave birth to a premature, underweight boy, Edgar.\u003C/p>\n\n\n\n\u003Cp>Hamriani was much further along—38 weeks. She awoke one night with a throbbing headache and realized she was having contractions. In a borrowed car, her husband took her to their health center where midwives quickly identified the warning signs for pre-eclampsia, a life-threatening hypertensive disorder.\u003C/p>\n\n\n\n\u003Cp>Desi was 40 weeks pregnant and ready to have her baby. But after delivering her son, the placenta failed to follow, and Desi began bleeding heavily.\u003C/p>\n\n\n\n\u003Cp>Three births. Three serious complications. Three opportunities to ensure a pregnant woman survived childbirth.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-full is-resized\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1365\" height=\"2048\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k.jpg\" alt=\"\" class=\"wp-image-3420\" style=\"width:508px;height:auto\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k.jpg 1365w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-200x300.jpg 200w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-683x1024.jpg 683w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-768x1152.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-1024x1536.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-360x540.jpg 360w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-375x563.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-960x1440.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/26952296319_d4c04a1e09_k-1280x1920.jpg 1280w\" sizes=\"auto, (max-width: 1365px) 100vw, 1365px\" />\u003Cfigcaption class=\"wp-element-caption\">Restiani swaddled her newborn son to her chest, adopting a skin-to-skin contact method that helps premature babies thrive.\u003C/figcaption>\u003C/figure>\u003C/div>\n\n\n\u003Cp>The experiences of Restiani, Hamriani and Desi are not unique. Throughout Indonesia, complications at birth continue to threaten the lives of women and their babies. The number of maternal and newborn deaths in Indonesia remains unacceptably high and, by some indications, has increased. From 2007 to 2012, for example, Indonesia’s estimated maternal mortality ratio increased from 228 to 359 deaths for every 100,000 births.\u003C/p>\n\n\n\n\u003Cp>These three women, fortunately, survived pregnancy and childbirth with the help of the Expanding Maternal and Neonatal Survival (EMAS) program that was launched by the government of Indonesia through the support of the U.S. Agency for International Development (USAID). EMAS, a program led by Jhpiego, works across the health system from village center to hospital to strengthen business practices, supervision and oversight of health service providers and the skills of individual midwives.\u003C/p>\n\n\n\n\u003Cp>The EMAS program helps train health workers to recognize and manage complicated labors like those Desi and Hamriani experienced. Twice a month, the midwives and nurses at Hamriani’s health center practice emergency drills to ensure that they’re always confident and ready to take action when the need arises. In fact, the very same day that Hamriani arrived at her health center with pre-eclampsia, midwives there had just completed a skill-building session on addressing pregnancy-related high blood pressure and its impact on mother and child. With skills fresh on their minds, the midwives worked together as a team, each managing a different aspect of Hamriani’s difficult labor. An hour later, she gave birth to a healthy baby.\u003C/p>\n\n\n\u003Cdiv class=\"wp-block-image\">\n\u003Cfigure class=\"aligncenter size-large is-resized\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"683\" height=\"1024\" src=\"https://jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-683x1024.jpg\" alt=\"\" class=\"wp-image-3422\" style=\"width:508px\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-683x1024.jpg 683w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-200x300.jpg 200w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-768x1152.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-1024x1536.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-360x540.jpg 360w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-375x563.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-960x1440.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k-1280x1920.jpg 1280w, https://api.jhpiego.org/wp-content/uploads/2025/08/38695872642_efb46819d7_k.jpg 1365w\" sizes=\"auto, (max-width: 683px) 100vw, 683px\" />\u003Cfigcaption class=\"wp-element-caption\">An EMAS-supported emergency text messaging referral system got Desi the help she needed to survive severe bleeding after birth.\u003C/figcaption>\u003C/figure>\u003C/div>\n\n\n\u003Cp class=\"has-text-align-left\"> For Desi, even those skills weren’t enough—she needed to be referred to the nearby public hospital. Through EMAS, an emergency text message-based referral system was in place, so the staff of the referral hospital was ready with the right blood type for transfusion, key supplies and the necessary intervention for Desi when she arrived.\u003C/p>\n\n\n\n\u003Cp>In Restiani’s case, her newborn son Edgar needed attention. He was taken into intensive care immediately after birth and stabilized. Midwives showed Restiani how to hold him skin-to-skin to transfer body warmth—an intervention called kangaroo mother care, which has been shown to increase a baby’s weight, prevent hypothermia and create a bond between parents and their newborn. Every day, Restiani swaddled Edgar against her chest. Today, they’re both safe and healthy.\u003C/p>\n\n\n\n\u003Cp>USAID’s EMAS program works in 30 districts and cities, which include 150 hospitals and 300 health centers, to ensure that pregnant women like Hamriani, Desi and Restiani survive childbirth and deliver healthy babies.\u003C/p>\n\n\n\n\u003Cp>From encouraging expectant mothers to give birth at a health facility to ensuring that health workers have the skills and confidence to manage complicated births, EMAS is helping build bright futures for mothers, newborns and families across Indonesia.\u003C/p>\n","\u003Cp>Three births. Three serious complications. Three opportunities to ensure a pregnant woman survived childbirth.\u003C/p>\n","three-births-three-complications-three-lives-saved","https://jhpiego.org/our-stories/p/three-births-three-complications-three-lives-saved/","/our-stories/p/three-births-three-complications-three-lives-saved/","2016-01-21T19:09:58","2025-08-21T13:34:07",{"id":1325,"src":1326,"width":1327,"height":1328,"alt":20,"caption":20,"title":1329,"description":20,"mimeType":23,"html":1330,"srcset":1331,"sizes":1332,"meta":1333,"acf":1358},3700,"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image.jpg",773,623,"Story-three births-Feature Image","\u003Cimg width=\"773\" height=\"623\" src=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image.jpg\" class=\"attachment-full size-full\" alt=\"\" decoding=\"async\" loading=\"lazy\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image.jpg 773w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-300x242.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-768x619.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-670x540.jpg 670w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-375x302.jpg 375w\" sizes=\"auto, (max-width: 773px) 100vw, 773px\" />","https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image.jpg 773w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-300x242.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-768x619.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-670x540.jpg 670w, https://api.jhpiego.org/wp-content/uploads/2025/08/Story-three-births-Feature-Image-375x302.jpg 375w","(max-width: 773px) 100vw, 773px",{"width":1327,"height":1328,"file":1334,"filesize":1335,"sizes":1336,"imageMeta":1356},"2025/08/Story-three-births-Feature-Image.jpg",51099,{"medium":1337,"thumbnail":1341,"mediumLarge":1344,"postThumbnail":1348,"smallPreview":1352},{"file":1338,"width":33,"height":1339,"mimeType":23,"filesize":1340},"Story-three-births-Feature-Image-300x242.jpg",242,15239,{"file":1342,"width":43,"height":43,"mimeType":23,"filesize":1343},"Story-three-births-Feature-Image-150x150.jpg",6625,{"file":1345,"width":47,"height":1346,"mimeType":23,"filesize":1347},"Story-three-births-Feature-Image-768x619.jpg",619,69307,{"file":1349,"width":1350,"height":58,"mimeType":23,"filesize":1351},"Story-three-births-Feature-Image-670x540.jpg",670,56239,{"file":1353,"width":67,"height":1354,"mimeType":23,"filesize":1355},"Story-three-births-Feature-Image-375x302.jpg",302,21649,{"aperture":86,"credit":20,"camera":20,"caption":20,"createdTimestamp":86,"copyright":20,"focalLength":86,"iso":86,"shutterSpeed":86,"title":20,"orientation":86,"keywords":1357},[],{"primaryColor":1359,"blurhash":1360},"#6c6f65","UJHK?=%$0rTH0q$x~3IW%fE2wd$4.6a$Icxp",{"category":1362,"postTag":1370,"postFormat":314,"areaOfExpertiseTax":1380,"expertsTag":314},[1363,1364],{"id":1249,"name":1250,"slug":1251,"parent":314,"uri":1252,"to":1252},{"id":1365,"name":1366,"slug":1367,"parent":1368,"uri":1369,"to":1369},115,"Indonesia","indonesia",{"id":1249,"name":1250,"slug":1251,"parent":314,"uri":1252,"to":1252},"/our-stories/c/asia/indonesia/",[1371,1376,1379],{"id":1372,"name":1373,"slug":1374,"parent":314,"uri":1375,"to":1375},99,"Maternal Health","maternal-health","/our-stories/c/maternal-health/",{"id":1377,"name":706,"slug":1378,"parent":314,"uri":711,"to":711},94,"primary-health-care",{"id":43,"name":750,"slug":1283,"parent":314,"uri":754,"to":754},[1381,1382],{"id":1293,"name":604,"slug":1294,"parent":314,"uri":608,"to":608},{"id":1383,"name":679,"slug":1384,"parent":314,"uri":684,"to":684},181,"maternal-newborn-and-child-health",{"credits":1386},[1387],{"role":1388,"name":1389},"Author","Syane Luntungan",{"id":1391,"guid":1392,"title":1393,"content":1394,"excerpt":1395,"excerptRaw":1395,"slug":1396,"url":1397,"uri":1398,"to":1398,"status":325,"date":1399,"modified":1400,"type":328,"authorId":329,"featuredMedia":1401,"terms":1442,"acf":1493},9189,"https://jhpiego.org/?p=9189","How to give more than a vaccine","\n\u003Cp>Making sure HPV vaccination reaches more girls in Tanzania, Côte d’Ivoire and Nigeria.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/06/VMS_Nurse_Diby_Felicit-visiting_h1-1024x683.jpg\" alt=\"\" class=\"wp-image-9193\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/06/VMS_Nurse_Diby_Felicit-visiting_h1-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/06/VMS_Nurse_Diby_Felicit-visiting_h1-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/06/VMS_Nurse_Diby_Felicit-visiting_h1-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/06/VMS_Nurse_Diby_Felicit-visiting_h1-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2026/06/VMS_Nurse_Diby_Felicit-visiting_h1-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/06/VMS_Nurse_Diby_Felicit-visiting_h1-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/06/VMS_Nurse_Diby_Felicit-visiting_h1.jpg 1080w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">VMS Nurse Diby Felicité on a community visit in Niakara, Cote d’Ivoire. Credit: Jean Jacques SOHA\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>The vaccine works. \u003Ca href=\"https://www.who.int/news/item/11-04-2022-one-dose-human-papillomavirus-(hpv)-vaccine-offers-solid-protection-against-cervical-cancer\" target=\"_blank\" rel=\"noreferrer noopener\">Single-dose HPV vaccination\u003C/a> dramatically reduces the lifetime risk of cervical cancer, a disease that kills around 350,000 women a year, most of them in low- and middle-income countries. For the first time, cervical cancer elimination is mathematically achievable.\u003C/p>\n\n\n\n\u003Cp>The challenges lie in delivery.\u003C/p>\n\n\n\n\u003Cp>In many Gavi-supported countries, HPV vaccination coverage still sits well below the global 90% target. The issue is usually \u003Cem>where\u003C/em> the vaccine is delivered, in that adolescent girls, particularly those who are not in school, or who live in remote areas or mobile communities, do not reliably encounter the health system. When they do, the short interaction enabled by a vaccination often on its own does not generate enough trust, value or convenience to overcome the various barriers they face.\u003C/p>\n\n\n\n\u003Cp>A first-of-its-kind initiative called Strengthening HPV Vaccination and Adolescent Health Research Programme (SHARP), commissioned by Gavi and led by Jhpiego along with national governments, tested a different proposition across three countries: Côte d’Ivoire, Nigeria and Tanzania. The idea was to meet adolescents where they are, by pairing HPV vaccination with a broader package of adolescent health services.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"784\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/06/SHARP_TZ_Integrated_Education_h2-1024x784.jpg\" alt=\"\" class=\"wp-image-9195\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/06/SHARP_TZ_Integrated_Education_h2-1024x784.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/06/SHARP_TZ_Integrated_Education_h2-300x230.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/06/SHARP_TZ_Integrated_Education_h2-768x588.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/06/SHARP_TZ_Integrated_Education_h2-705x540.jpg 705w, https://api.jhpiego.org/wp-content/uploads/2026/06/SHARP_TZ_Integrated_Education_h2-375x287.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/06/SHARP_TZ_Integrated_Education_h2-960x735.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/06/SHARP_TZ_Integrated_Education_h2.jpg 1080w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">SHARP Tanzania Integrated Education session in Arusha. Credit: Radhia Davis Luoga\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>While the three implementation approaches look different, the lessons are starting to converge.\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">Tanzania: meeting the girls outside of school\u003C/h3>\n\n\n\n\u003Cp>In the Mbeya and Arusha regions of Tanzania, the programme focused on the adolescents Tanzania’s school-based HPV delivery had been least likely to reach: out-of-school girls, pastoralist communities and remote villages. Working in Karatu and Mbarali districts, the project co-designed an integrated outreach with adolescents, parents, teachers, community leaders and local government.\u003C/p>\n\n\n\n\u003Cp>In a single visit, adolescents could receive the single-dose HPV vaccine, vision screening, nutrition checks and age-appropriate health education. Staffed by trained health professionals and community health workers, these visits were often held where families already gather – village meeting points or at their homes.\u003C/p>\n\n\n\n\u003Cp>Over the course of six months, the programme had impressive reach: more than 3,500 adolescents received integrated services, and HPV vaccination coverage among girls reached 92.5% in programme areas (compared to 84.6% in other areas), with the largest gap among out-of-school girls. Of vaccinated girls, nearly 80% also received at least one additional health service.\u003C/p>\n\n\n\n\u003Cp>“I liked all the services overall, personally… First is the vaccine for girls, second is the eye screening, and then nutrition… I like it because they guided us, it helps girls to be protected from various diseases.”\u003C/p>\n\n\n\n\u003Cp> – Parent, Tanzania\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">Côte d’Ivoire: optimising a platform that was already there\u003C/h3>\n\n\n\n\u003Cp>Côte d’Ivoire set out to tackle a different challenge. While a national school health platform, known as the Systematic Medical Visit, or by its French acronym VMS, already existed, the country struggled with execution. Coverage was uneven across districts, implementation varied widely, and girls outside the school system were largely left out.\u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“So we had to combine [HPV vaccination] with the VMS to raise the rate a bit. When we incorporated the checkup into the vaccination process, it actually increased the rate a little. We were able to identify eye abnormalities and all kinds of vision problems. We also prescribed medications; if there were gynaecological issues, we prescribed medications for those as well.”\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>– Nurse, healthcare provider, Côte d’Ivoire\u003C/p>\n\n\n\n\u003Cp>Rather than replacing the platform, partners worked to optimise it. In Niakara and Abobo-Ouest health districts, the project diversified where visits happened, extending them beyond schools to health centres and community spaces. It strengthened coordination between the national immunisation programme, the adolescent health programme, and district health teams. It moved data collection from paper forms onto a digital system for increased quality of reporting. And it built community health worker capacity for door-to-door outreach.\u003C/p>\n\n\n\n\u003Cp>The numbers from Côte d’Ivoire tell a striking story. Between June and November 2025, more than 15,000\u003Cstrong> \u003C/strong>adolescents passed through the integrated visit. Coverage in programme districts climbed from 9% to 49%, while coverage in comparison districts climbed from 8% to 33%. After adjusting for region, wealth and age, the increase among girls in programme districts was almost 17 times larger than the increase in comparison districts. Knowledge of HPV and cervical cancer among adolescent girls rose from 25% to 42% where the programme ran. \u003C/p>\n\n\n\n\u003Cp>The visit also caught over 2,500 cases of visual impairment, poor nutritional status, and anaemia that would have been missed otherwise. \u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“Thanks to these examinations, we can reveal a hidden illness that may have been affecting you for a long time and that you may not be aware of.”\u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>– Out-of-school adolescent, Côte d’Ivoire\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">Nigeria: building opportunities for integration\u003C/h3>\n\n\n\n\u003Cp>In Nigeria, the HPV vaccine was only introduced in 2023, through large-scale campaigns targeting girls across multiple age groups, so there hasn’t been as much time or opportunity to test approaches beyond these initial efforts.\u003C/p>\n\n\n\n\u003Cp>In partnership with the International Vaccine Access Center at the Johns Hopkins Bloomberg School of Public Health, and Direct Consulting and Logistics, Jhpiego implemented two different models in Lagos and Kebbi states to explore what existing locations – that is, places of intersection with adolescents – could be used to provide HPV vaccination and other adolescent health services. Crucially, government partners at the state and local government area (LGA) levels were central to shaping the service package and advocating for its implementation from the start.\u003C/p>\n\n\n\n\u003Cfigure class=\"wp-block-image size-large\">\u003Cimg loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https://api.jhpiego.org/wp-content/uploads/2026/06/Nurse_Diby_Felicit_h2-1024x683.jpg\" alt=\"\" class=\"wp-image-9194\" srcset=\"https://api.jhpiego.org/wp-content/uploads/2026/06/Nurse_Diby_Felicit_h2-1024x683.jpg 1024w, https://api.jhpiego.org/wp-content/uploads/2026/06/Nurse_Diby_Felicit_h2-300x200.jpg 300w, https://api.jhpiego.org/wp-content/uploads/2026/06/Nurse_Diby_Felicit_h2-768x512.jpg 768w, https://api.jhpiego.org/wp-content/uploads/2026/06/Nurse_Diby_Felicit_h2-810x540.jpg 810w, https://api.jhpiego.org/wp-content/uploads/2026/06/Nurse_Diby_Felicit_h2-375x250.jpg 375w, https://api.jhpiego.org/wp-content/uploads/2026/06/Nurse_Diby_Felicit_h2-960x640.jpg 960w, https://api.jhpiego.org/wp-content/uploads/2026/06/Nurse_Diby_Felicit_h2.jpg 1080w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" />\u003Cfigcaption class=\"wp-element-caption\">Nurse Diby Felicité in Niakara, Cote d’Ivoire.\nCredit: Jean Jacques SOHA\u003C/figcaption>\u003C/figure>\n\n\n\n\u003Cp>Across both states, the models included school vaccination outreaches, community outreaches and offering integrated services at existing health facilities. In Kebbi, monthly mobile sessions brought services directly into communities. In Lagos, specialised HIV clinics and youth-friendly health centres were also used as entry points to provide integrated care.\u003C/p>\n\n\n\n\u003Cp>The results speak to how much demand there is when services meet girls where they are. In just five months, 84% of eligible girls (more than 14,000 out of 17,000) were vaccinated in Kebbi, and in Lagos 172% of eligible girls were vaccinated (7,700 eligible girls turned out, while the health system had expected just 4,500). More than 25,000 girls across both states received the full integrated package of commodities, including such goods as deworming medications, sanitary pads and/or soap.\u003C/p>\n\n\n\n\u003Cp>In Kebbi, over 15,000 girls in Kebbi received counselling on HPV, cervical cancer and vaccination. In Lagos, every girl who was vaccinated also received counselling and commodities as part of the integrated visit.\u003C/p>\n\n\n\n\u003Cblockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n\u003Cp>“With the SHARP intervention… the sanitary pads, wristbands, and deworming tablets really helped in accepting the vaccination [in] the community.” \u003C/p>\n\u003C/blockquote>\n\n\n\n\u003Cp>– Programme manager, Agege, Lagos\u003C/p>\n\n\n\n\u003Ch3 class=\"wp-block-heading\">What the three countries are teaching us\u003C/h3>\n\n\n\n\u003Cp>\u003Cstrong>Typically, the platform exists, but it needs to be optimised.\u003C/strong> In each country, an adolescent service platform or school health system existed before the programme arrived. What changed was how it was used: extended hours, more delivery sites, joint planning across ministries, and outreach that did not end at the school gate. For countries looking to scale HPV vaccination, the implication is that the answer to the platform question is rarely to “build new”. It is almost always “optimise what’s already there”.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>Community health workers are non-negotiable.\u003C/strong> Across both Côte d’Ivoire and Tanzania, community health workers were the engine that reached parents and girls outside the formal system. As immunisation programmes grow to cover more adolescent services, formalising the role of these workers in HPV delivery is among the most actionable policy decisions countries can take.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>Integration is what makes the visit worth the trip.\u003C/strong> A vaccine on its own often does not generate enough perceived value for a remote family to travel for it. A vaccine paired with vision screening, nutrition checks and adolescent health information becomes a full health encounter, and parents and girls respond accordingly.\u003C/p>\n\n\n\n\u003Cp>\u003Cstrong>Financing is the hardest piece ahead.\u003C/strong> Sustaining integration will require joint funding across various ministries. Financing models that catalyse multisectoral commitment will determine whether the integrated model scales beyond the project period.\u003C/p>\n\n\n\n\u003Cp>We know the HPV vaccine works, but the existence of a good vaccine was never going to be enough. Girls that are out of school, part of pastoralist communities and live in remote villages are the people who will determine whether cervical cancer elimination is achieved in this generation or the next. The evidence from these three countries is starting to show what it takes to reach them.\u003C/p>\n\n\n\n\u003Cp>This article was originally published on the Gavi, the Vaccine Alliance website on June 23, 2026. \u003Ca href=\"https://www.gavi.org/vaccineswork/how-give-more-vaccine\" data-type=\"link\" data-id=\"https://www.gavi.org/vaccineswork/how-give-more-vaccine\">Read the original article here.\u003C/a>\u003C/p>\n\n\n\n\u003Cp>\u003Cem>Anissa Sidibe is theTechnical Director for Immunisation, Jhpiego. Mary Rose Giattas is Project Director, SHARP TZ, Jhpiego Tanzania. Chizoba Wonodi is the Principal Investigator, SHARP NG, International Vaccine Access Center Johns Hopkins Bloomberg School of Public Health. Séraphin Kouassi Kouakou is the Senior Technical Advisor for Immunisation, Jhpiego Côte d’Ivoire.\u003C/em>\u003C/p>\n\n\n\n\u003Cp>\u003C/p>\n","\u003Cp>Making sure HPV vaccination reaches more girls in Tanzania, Côte d’Ivoire and Nigeria.\u003C/p>\n","more-than-a-vaccine","https://jhpiego.org/our-stories/p/more-than-a-vaccine/","/our-stories/p/more-than-a-vaccine/","2026-06-24T13:26:07","2026-06-25T13:01:48",{"id":1402,"src":1403,"width":1208,"height":948,"alt":20,"caption":1404,"title":1405,"description":20,"mimeType":23,"html":1406,"srcset":1407,"sizes":1408,"meta":1409,"acf":1439},9193,"https://api.jhpiego.org/wp-content/uploads/2026/06/VMS_Nurse_Diby_Felicit-visiting_h1.jpg","VMS Nurse Diby Felicité on a community visit in Niakara, Cote d'Ivoire. 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